部分医院以转诊为由拒治 Part of the hospital grounds to referral to refuse

专家致信卫生部 The ministry of health experts wrote a letter

建议公布拒治艾滋病患者查处结果 Suggestions from AIDS patients released for investigation results

　　近日，天津一位携带艾滋病毒的肺癌患者求医遭拒，私自修改病例隐瞒病情接受手术一事引起社会广泛关注。

recently,Tianjin a living with HIV patients with lung cancer rejected healed,Privately modify cases hide condition surgery by a widespread social concern is caused.

　　鉴于此前诸多艾滋病感染者、艾滋病病人在治疗其艾滋病之外的其他疾病时遭到了医院的违法拒治，清华大学当代中国研究中心教授李楯11月26日致信卫生部，建议严查医院违反《艾滋病防治条例》(以下简称《条例》)，以各种理由推诿、拒绝治疗艾滋病感染者或艾滋病病人的情形，并向公众公布相关检查和处理结果。

In view of the previous many people infected with HIV/AIDS patients in the treatment of the disease AIDS other than by the hospital for illegal refused,Tsinghua university professor lee contemporary China research center projecting November 26 written the ministry of health,Suggest attracted in violation of the hospital[Regulations on AIDS prevention and control](Hereinafter referred to as[regulations]),With all sorts of reason shuffle/Refused to treat people infected with HIV or AIDS patient situation,And be announced to the public and relevant examination and treatment results.

建议公布检查结果 Suggest announced results

　　11月21日，媒体报道携带艾滋病毒患者被拒治事件后，卫生部发布《关于加强艾滋病患者和病毒感染者医疗服务工作的通知》，强调严禁推诿或拒绝诊治艾滋病患者，并要求对推诿或者拒绝为艾滋病患者和病毒感染者诊治的医疗机构和医务人员，依法依规严肃处理。

On November 21st,Media reports carrying HIV sufferers rejected to incident,The ministry of health issued[On strengthening AIDS patients infected with the virus and medical service notice],Emphasize it is strictly prohibited to shuffle or refused to make a diagnosis and give treatment in patients with HIV/AIDS,And required to shuffle or refused to AIDS patients and virus infections of the diagnosis and treatment of medical institutions and medical personnel,In accordance with the regulations in accordance with the serious processing.

　　但李楯认为，上述通知没有实质内容，大部分只在重复此前的官样文章，且没有按照政府信息公开条例的要求，向公众公开相关检查和处理的结果。他建议卫生部严查自2006年3月1日《条例》施行以来，医院违反《条例》第四十一条规定，对就诊需要治疗，特别是需要手术治疗的艾滋病感染者或者艾滋病病人以各种“理由”推诿或者拒绝治疗的情形，向公众公布检查结果；依据《条例》第五十五条第六项的规定，对所有有过推诿、拒治情节的医院，给予公开的通报批评或警告；对因此而造成艾滋病感染者或者艾滋病病人在艾滋病之外的其他疾病治疗延误，及由此导致其健康受损或死亡的，给予应负有责任的主管人员和其他直接责任人员降级、撤职或开除的处分，并依法吊销有关责任人员的执业许可证件。

But lee projecting think,The above notice there is no substance,Most only in repeat previous gobbledygook,And not in accordance with the requirements of China on the disclosure of government information,Open to the public and relevant examination and the result of the treatment.He suggested that attracted the ministry of health since March 1, 2006[regulations]Since the enforcement of,Hospital in violation of[regulations]The provisions of article 41,To see a doctor need treatment,Especially for the surgical treatment of people infected with HIV or AIDS patients in various"reason"Shuffle or refuse treatment situation,To the public examination results;According to the[regulations]Article 55 the provisions of paragraph 6,For all had shuffle/Refuse to the plot of the hospital,Give public notice of criticism or warning;To be caused because of people infected with HIV or AIDS patients in other than the disease AIDS delay treatment,And thus lead to the health damage or death,Give should be the responsible person in charge with direct responsibility or other personnel with relegation/Removed or fire penalty,And shall revoke the relevant responsible persons for practice license certificate.

　　此外，设立专门的拒治举报邮政信箱和电子邮件信箱，每季度在卫生部官方网页上向公众公布拒治举报的核查进度和查处结果。

In addition,A special refuse to report postal address and E-mail address,Every quarter in the ministry official website announced to the public to report from the verification progress and investigate the results.

《条例》执行被打折扣 [regulations]Execution is to be at a discount

　　据李楯介绍，作为行政法规，《条例》明确了两个很关键的内容：一是推诿或者拒治是违法、应受处罚的行为。二是明确组织开展艾滋病防治培训、采取卫生防护措施和医疗保健措施以及遵守标准防护原则，能够防止职业行为中的艾滋病感染。

According to li projecting introduced,As the administrative rules and regulations,[regulations]Has been clear about the two very key content:One is shuffle or refuse to is illegal/Culpable behavior.2 it is clear the organization carries out the training of HIV/AIDS prevention and control/Take health protection measures and medical care measures and abide by the standard protection principle,It can prevent occupational behavior of HIV infection.

　　“《条例》虽对推诿、拒治有明确的处罚规定，但卫生系统对病人和医护人员的保护都不积极。”李楯说，从2006年3月《条例》实施起，卫生系统时常出现与前述法规规定相悖的言论，包括宣称《条例》的规定的实施起来难度；即使要实施也要有个过程；可以采取“变通”的办法，在传染病医院(即所谓的“定点医院”)设立传染病之外的如外科、妇产科、眼科、口腔科等其他科室，以满足艾滋病感染者、艾滋病病人在艾滋病之外的其他疾病的治疗等等，而非强调遵循《条例》规定，不得推诿和拒治。

"[regulations]To shuffle though/Refuse to have a clear penalty provision,But health system to the protection of the patients and staff are not positive."Lee projecting said,From March 2006[regulations]Implementation up,Health system often appear with the foregoing rules and regulations inconsistent remarks,Including claims[regulations]The implementation of the provisions of the difficulty together;Even if it implementation will have a process;Can take"flexible"way,In the infectious disease hospital(The so-called"Fixed-point hospital")Set up outside of infectious diseases such as surgery/Department of gynaecology and obstetrics/eye/Department of stomatology and other departments,In order to meet the people infected with HIV/AIDS patients in other than AIDS treatment of diseases and so on,But not emphasize to follow[regulations]provisions,Not shuffle and refused to cure.

　　但在他看来，正因为这样，一些三甲综合性医院公开表示他们不接治艾滋病感染者的其他疾病，并称这不是拒治，而是“转诊”。“我国每年大约发生艾滋病职业暴露事件700起，但迄今还未发生一起由此导致的艾滋病感染病例。”李楯说，“只要按规定操作，医护人员就不会被传染。”

But in his opinion,Because of this,Some top comprehensive hospital said publicly that they don't pick up to other people infected with HIV disease,Saying this is not refused to cure,but"referral"."Our country each year about happen HIV occupational exposure event since 700,But so far has not occurred together which leads to AIDS infections."Lee projecting said,"As long as the operation according to regulations,Medical personnel will not be infected."

　　记者了解到，在一些抗艾关怀民间组织看来，艾滋病“定点医院”本身就是歧视。李楯认为国家不可能给一种传染病人单设带有各种科室、什么病都能治的医院。拒治不仅违背了《条例》规定，还有违宪法对人权的尊重和保障的规定。(记者 韩乐悟)

The reporter understands,In some resistance to ai seems to care for non-governmental organizations,AIDS"Fixed-point hospital"Itself is discrimination.Lee projecting that the nation could not give an infectious disease one single set with various departments/What disease can cure hospital.Refuse to not only against[regulations]provisions,There are violations constitution respect for human rights and the provisions of the guarantee.(Reporter HanLe enlightenment)